[孤立性双侧内侧楔骨骨折：一例报告]
[Isolated bilateral medial cuneiform fracture: a case report].
作者信息
Liszka Henryk, Gadek Artur
机构信息
Oddział Urazowo-Ortopedyczny Szpitala ZOZ MSWiA w Krakowie.
出版信息
Przegl Lek. 2012;69(9):708-10.
UNLABELLED
Midfoot bones fractures are usually unisolated and associated with a high-energy trauma. Unfortunately a such fracture it is often missed or delayed in primary diagnosis. Isolated medial cuneiform fracture is a very rare injury. A review of the literature reveals only few cases and none of bilateral.
CASE REPORT
We report of undisplaced isolated bilateral medial cuneiform fracture in 26-year-old woman after dancing trauma. Because of unclear physical examination and plain x-rays film, computed tomography was necessary. Early correct diagnosis allowed appropriate conservative treatment with good result.
CONCLUSIONS
Cuneiform bones fractures are much more common than previously reported. Computed tomography should be considered even in cases of low energy trauma.
未标注
中足骨骨折通常并非孤立存在，而是与高能创伤相关。不幸的是，此类骨折在初次诊断时常常被漏诊或延误。孤立性内侧楔骨骨折是一种非常罕见的损伤。文献回顾显示仅有少数病例报道，且无双侧病例。
病例报告
我们报告一例26岁女性在跳舞受伤后出现的无移位双侧孤立性内侧楔骨骨折。由于体格检查和X线平片结果不明确，因此需要进行计算机断层扫描（CT）。早期正确诊断使得采取适当的保守治疗并取得了良好效果。
结论
楔骨骨折比先前报道的更为常见。即使在低能量创伤的情况下，也应考虑进行CT检查。
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